The server and the clients communicates by using the DICOM protocol (DICOM C-Store, WADO or Query & Retrieve). The modalities (MRI, CT, PET, Ultrasounds, …) send the images to the PACS Server by using a DICOM “push” ( DICOM C-Store). Typically a PACS network consists of a central PACS server which stores a database containing the images, and of multiple clients that can retrieve and display these images on medical imaging software. Expansion: write your own plugins to extend the integration with any protocols/systems, including EMR, RIS or HIS.
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